HomeNPI Verification

NPI Verification

National Provider Identifier: 1619007697

Mohan Kumar Bangalore Puttaiah, MD

Individual Provider

Credentials

MD

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (4)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

1600 N MAIN AVE

LOVINGTON, NM 882602830

Phone: 575-396-6611

NPI Enumeration Date

March 7, 2007

NPI Number

1619007697

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Mohan Bangalore Puttaiah, MD - NPI 1619007697 | Provider Verification | HormoneMap